Claim formular

Claim

Fill out the claim formular in order for us to process your claim best possible

Company Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Name of contact person(Required)

First Last

Invoice No.(Required)

Invoice Date(Required)

Product in Question(Required)

Article No.(Required)

Quantity Defect(Required)

How/When was the defect discovered?(Required)

Type of Defect?(Required)

Potential cause of defect?(Required)

File

Drop files here or

Max. file size: 50 MB.

In order for us to review your claim request in the best possible way, please provide relevant pictures of the damaged product(s)

Other?